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Pain After Traumatic Brain Injury

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Abstract

Traumatic brain injury (TBI) is a significant worldwide public health problem. The annual incidence of TBI in the United States has been cited as 1.7 million cases, but this is likely an underestimate due to underreporting and misdiagnosis, and does not take into account the increasing number of military patients with TBI. It is a contributing factor in nearly one-third of all injury-related deaths in the United States. Total lifetime costs are estimated to be over $60 billion per year. The hallmark features of TBI include head injury with loss of consciousness or alteration of mental status. Consequences of TBI include cognitive deficits, mental health issues, as well as physical pain complaints. Chronic pain is a common complication of TBI and may be exacerbated by psychiatric conditions such as depression and posttraumatic stress disorder. In this chapter, we will emphasize a multidisciplinary approach, incorporating physical, pharmacologic, and psychological modalities for the treatment of pain associated with TBI. Further research into the pathophysiology and diagnosis of TBI and its complications may lead to improved treatments.

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Authors and Affiliations

  1. Department of Anesthesiology, New York University Langone Medical Center, NYU School of Medicine, New York, NY, USA

    Jason K. Ough MD & Devi E. Nampiaparampil MD

  2. Department of Rehabilitation Medicine, NYU School of Medicine, New York, NY, USA

    Devi E. Nampiaparampil MD

  3. Department of Veterans Affairs, New York Harbor Health Care System, New York, NY, USA

    Devi E. Nampiaparampil MD

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  1. Jason K. Ough MD
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Correspondence to Jason K. Ough MD .

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  1. Department of Health and Human Services, Rockville, MD, USA

    Rhonda J. Moore

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Ough, J.K., Nampiaparampil, D.E. (2013). Pain After Traumatic Brain Injury. In: Moore, R.J. (eds) Handbook of Pain and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1651-8_13

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